0001505952-23-000041.txt : 20230405
0001505952-23-000041.hdr.sgml : 20230405
20230405161149
ACCESSION NUMBER: 0001505952-23-000041
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230403
FILED AS OF DATE: 20230405
DATE AS OF CHANGE: 20230405
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jolley David R
CENTRAL INDEX KEY: 0001972400
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38553
FILM NUMBER: 23802663
MAIL ADDRESS:
STREET 1: C/O DOMO, INC.
STREET 2: 722 EAST UTAH VALLEY DRIVE
CITY: AMERICAN FORK
STATE: UT
ZIP: 84003
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DOMO, INC.
CENTRAL INDEX KEY: 0001505952
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 273687433
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 772 EAST UTAH VALLEY DRIVE
CITY: AMERICAN FORK
STATE: UT
ZIP: 84003
BUSINESS PHONE: 801-899-1000
MAIL ADDRESS:
STREET 1: 772 EAST UTAH VALLEY DRIVE
CITY: AMERICAN FORK
STATE: UT
ZIP: 84003
FORMER COMPANY:
FORMER CONFORMED NAME: LIGHTSTORM, INC.
DATE OF NAME CHANGE: 20110425
FORMER COMPANY:
FORMER CONFORMED NAME: SHACHO, INC.
DATE OF NAME CHANGE: 20101117
4
1
wf-form4_168072549620984.xml
FORM 4
X0407
4
2023-04-03
0
0001505952
DOMO, INC.
DOMO
0001972400
Jolley David R
772 EAST UTAH VALLEY DR.
AMERICAN FORK
UT
84003
0
1
0
0
Chief Financial Officer
0
Class B Common Stock
2023-04-03
4
A
0
225000
0
A
225000
D
The shares are represented by restricted stock units ("RSUs"). Each RSU represents the Reporting Person's right to receive one share of Class B Common Stock of the Issuer, subject to the applicable vesting schedule. In the event the Reporting Person ceases to be a Service Provider, the unvested RSUs will be cancelled by the Issuer.
/s/ Adam Gerulat, as attorney-in-fact
2023-04-05